News

Thousands more GP staff recruited across England

NHS England has recruited 300 more family doctors and thousands more nurses, pharmacists and other staff to work alongside GPs delivering better care in the community.

There are now 7,302 more full time equivalent (FTE) health professionals working in primary care than three years ago, NHS Digital figures released today show. That exceeds NHS England’s target of an additional 5,000 by 2020 set out in the General Practice Forward View.

In the last year alone, there were 2,635 FTE (2%) more staff working in primary care overall than in March 2018 and an increase of 703 FTE (0.5%) over the previous quarter.

In addition, the data shows an increase of 226 FTE doctors over the last quarter – and an increase of 312 year-on-year when compared with March 2018 – as GP retention and return to practice schemes take effect and new GP trainees enter the workforce.

Loss from the workforce is stabilising with 750 more FTE trainee GPs and 394 more FTE salaried GPs now working in general practice compared with March 2018.

The figures show there were 1,029 FTE clinical pharmacists working in general practice at the end March 2019. This represents an increase of 58 FTE over the last quarter and an increase of 287 FTE since March 2018. In total, the FTE count of clinical pharmacists in general practice has increased by 38.6% over the year.

There were 167 FTE physician associates working in general practice (194 headcount) in England as at March 2019. This represents an increase of 37 FTE over the last quarter and an increase of 97 FTE since March 2018. In total, the FTE count of physician associates in general practice increased by 138.6% over the year. And there were 16,483 FTE nurses working in general practice, an increase of 313 on last year.

Dr Nikki Kanani, interim medical director for primary care and a London GP said: “While the GP numbers show some encouraging signs, recruiting, retaining and supporting more doctors into practice remains an absolute priority for us. Today’s figures highlight the good work being done locally to support GPs through retention schemes and flexible working, as well as taking on more trainees.

“A significant increase in the number of other health professionals such as nurses, pharmacists and physicians that work alongside GPs means patients can get more timely and appropriate access to a wider range of highly trained staff. This supports family doctors to focus on patients with the most complex conditions and eases the workload pressures our GPs face.”

As part of the new GP Contract, patients will see general practices working together from 1 July in primary care networks, supporting each other to provide a wider range of specialist services, as well as offering the weekend and evening appointments which were rolled out across the country at the end of last year.

Increased investment of £4.5 billion going into primary medical and community services each year by 2023-24 as part of the NHS Long Term Plan will support the recruitment of 20,000 more health professionals, including physios, pharmacists, paramedics, physician associates and social prescribing link workers over the next five years to support GPs.

And as these multi-disciplinary teams ease the GP workload, it is hoped doctors will be able to offer longer appointments to patients who need them.

Health professionals that work alongside family doctors play a vital role in delivering high quality, safe and effective care for patients. GP practice-based clinical pharmacists work as part of the general practice team to improve value and help patients get the best outcomes from their medicines.

NHS England remains committed to recruiting new GPs as well as retaining current staff, and there are more GPs in training than there ever have been. The GP Retention Scheme is a package of financial and educational support to help doctors, who might otherwise leave the profession, remain in clinical general practice and the £10 million Local Retention Fund aims to help local systems set up arrangements to support GPs and encourage them to remain in practice.

The NHS Digital GP Workforce March 2019 data shows:

GPs: an increase of 226 (FTE) over the last quarter and an increase of 312 FTE year on year compared with March 2018; There were 8,299 Salaried GPs in March 2019 – up 394 year on year, and there were 6.039 GP Registrars, up 752 on March 2018.

Staff overall: 2,635 FTE (2%) more staff overall than in March 2018 and an increase of 703 FTE (0.5%) over the quarter.

Non GP staff: 2,324 FTE more than March 2018 and 477 FTE more over the quarter.

Pharmacists: there were 1,029 FTE clinical pharmacists working in general practice as at March 2018. This represents an increase of 58 FTE over the last quarter and an increase of 287 FTE since March 2018. In total, the FTE count of clinical pharmacists in general practice increased by 38.6% over the year;

Physician Associates: there were 167 FTE physician associates working in general practice (194 headcount) in England as at March 2019. This represents an increase of 37 FTE over the last quarter and an increase of 97 FTE since March 2018. In total, the FTE count of physician associates in general practice increased by 138.6% over the year.

Nurses: There were 16,483 FTE nurses working in general practice, an increase of 313 on March 2018.

The General Practice Forward View committed to real terms increased investment in general practice of 14% between 2015-16 and 2020-21 to over £12 billion a year. This will be further strengthened by and an extra £4.5 billion overall a year in real terms in primary and community healthcare by 2023-24.

The NHS has a growing number of other highly trained health professionals working with GPs in multidisciplinary teams (MDTs) and the GP contract will invest around £1.799 billion by 2023-4 to recruit 20,000 more health professionals, including physios, pharmacists, paramedics, physician associates and social prescribing link workers over the next five years to work within Primary Care Networks. This means patients can get more timely access to a range of health professionals, depending on their needs, allowing GPs to focus on patients with the most complex conditions.

Health professionals that work alongside GPs play a vital role in delivering high quality, safe and effective care for patients. GP practice-based clinical pharmacists work as part of the general practice team to improve value and help patients get the best outcomes from their medicines.

NHS England remains committed to recruiting new GPs as well as retaining current staff, and there are more GPs in training than there ever have been. The GP Retention Scheme is a package of financial and educational support to help doctors, who might otherwise leave the profession, remain in clinical general practice and the £10 million Local Retention Fund aims to help local systems set up arrangements to support GPs and encourage them to remain in practice. £18 million was additionally invested in GP retention last year with further funding to be available over 2019-20.